Organization
NURTURING HAVEN ASSISTED LIVING HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE MARIE MAKONGHO MSE (OWNER)
(608) 504-1492
Entity
Organization
Contact information
Practice address
5709 DIVINE STREET, MADISON, WI 53718
(608) 504-1492
Mailing address
5709 DIVINE STREET, MADISON, WI 53718
(608) 504-1492
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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